How much rates vary
Facilitymedian $1,995 · 10th to 90th $891 to $5,012Professionalmedian $1,023 · 10th to 90th $912 to $1,905
Distribution of negotiated rates across all payers (price axis is log-scale). Need provider-level prices or 24+ months of history? Contact us.
Rates by insurance carrier
| Insurance Carrier | Facility/Professional | Modifier | Typical Low | Median | Typical High |
|---|---|---|---|---|---|
Aetna Setting Facility Modifier None Typical Low $1,023.29 Median $1,862.09 Typical High $4,466.84 | Facility | None | $1,023.29 | $1,862.09 | $4,466.84 |
Aetna Setting Professional Modifier None (both parts) Typical Low $933.25 Median $1,023.29 Typical High $1,174.90 | Professional | None (both parts) | $933.25 | $1,023.29 | $1,174.90 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $120.23 Median $128.82 Typical High $144.54 | Professional | 26 · Professional part | $120.23 | $128.82 | $144.54 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $812.83 Median $912.01 Typical High $1,047.13 | Professional | TC · Technical part | $812.83 | $912.01 | $1,047.13 |
Ambetter Setting Professional Modifier 26 · Professional part Typical Low $154.88 Median $154.88 Typical High $154.88 | Professional | 26 · Professional part | $154.88 | $154.88 | $154.88 |
Capital Blue Cross Setting Facility Modifier None Typical Low $4,265.80 Median $5,011.87 Typical High $79,432.82 | Facility | None | $4,265.80 | $5,011.87 | $79,432.82 |
Capital Blue Cross Setting Professional Modifier None (both parts) Typical Low $933.25 Median $1,479.11 Typical High $2,344.23 | Professional | None (both parts) | $933.25 | $1,479.11 | $2,344.23 |
Capital Blue Cross Setting Professional Modifier 26 · Professional part Typical Low $120.23 Median $199.53 Typical High $309.03 | Professional | 26 · Professional part | $120.23 | $199.53 | $309.03 |
Capital Blue Cross Setting Professional Modifier TC · Technical part Typical Low $812.83 Median $1,288.25 Typical High $2,041.74 | Professional | TC · Technical part | $812.83 | $1,288.25 | $2,041.74 |
Cigna Setting Facility Modifier None Typical Low $1,023.29 Median $2,041.74 Typical High $2,454.71 | Facility | None | $1,023.29 | $2,041.74 | $2,454.71 |
Cigna Setting Professional Modifier None (both parts) Typical Low $912.01 Median $1,202.26 Typical High $4,897.79 | Professional | None (both parts) | $912.01 | $1,202.26 | $4,897.79 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $117.49 Median $141.25 Typical High $588.84 | Professional | 26 · Professional part | $117.49 | $141.25 | $588.84 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $794.33 Median $1,071.52 Typical High $4,265.80 | Professional | TC · Technical part | $794.33 | $1,071.52 | $4,265.80 |
Emblem Health Setting Professional Modifier None (both parts) Typical Low $1,380.38 Median $1,737.80 Typical High $1,778.28 | Professional | None (both parts) | $1,380.38 | $1,737.80 | $1,778.28 |
Geisinger Setting Professional Modifier None (both parts) Typical Low $933.25 Median $1,071.52 Typical High $2,089.30 | Professional | None (both parts) | $933.25 | $1,071.52 | $2,089.30 |
Geisinger Setting Professional Modifier 26 · Professional part Typical Low $117.49 Median $134.90 Typical High $251.19 | Professional | 26 · Professional part | $117.49 | $134.90 | $251.19 |
Geisinger Setting Professional Modifier TC · Technical part Typical Low $812.83 Median $933.25 Typical High $1,819.70 | Professional | TC · Technical part | $812.83 | $933.25 | $1,819.70 |
Highmark BCBS Setting Facility Modifier None Typical Low $2,290.87 Median $3,235.94 Typical High $5,011.87 | Facility | None | $2,290.87 | $3,235.94 | $5,011.87 |
Highmark BCBS Setting Professional Modifier 26 · Professional part Typical Low $123.03 Median $134.90 Typical High $1,513.56 | Professional | 26 · Professional part | $123.03 | $134.90 | $1,513.56 |
Independence Blue Cross Setting Facility Modifier None Typical Low $1,479.11 Median $3,548.13 Typical High $6,309.57 | Facility | None | $1,479.11 | $3,548.13 | $6,309.57 |
Martin's Point Setting Facility Modifier None Typical Low $1,023.29 Median $1,995.26 Typical High $4,897.79 | Facility | None | $1,023.29 | $1,995.26 | $4,897.79 |
Martin's Point Setting Professional Modifier None (both parts) Typical Low $933.25 Median $1,000.00 Typical High $1,174.90 | Professional | None (both parts) | $933.25 | $1,000.00 | $1,174.90 |
Martin's Point Setting Professional Modifier 26 · Professional part Typical Low $125.89 Median $128.82 Typical High $141.25 | Professional | 26 · Professional part | $125.89 | $128.82 | $141.25 |
Martin's Point Setting Professional Modifier TC · Technical part Typical Low $812.83 Median $870.96 Typical High $1,023.29 | Professional | TC · Technical part | $812.83 | $870.96 | $1,023.29 |
Oscar Health Setting Professional Modifier None (both parts) Typical Low $134.90 Median $1,000.00 Typical High $2,041.74 | Professional | None (both parts) | $134.90 | $1,000.00 | $2,041.74 |
UPMC Health Plan Setting Facility Modifier None Typical Low $707.95 Median $891.25 Typical High $1,288.25 | Facility | None | $707.95 | $891.25 | $1,288.25 |
UPMC Health Plan Setting Professional Modifier None (both parts) Typical Low $891.25 Median $891.25 Typical High $912.01 | Professional | None (both parts) | $891.25 | $891.25 | $912.01 |
UPMC Health Plan Setting Professional Modifier 26 · Professional part Typical Low $117.49 Median $117.49 Typical High $120.23 | Professional | 26 · Professional part | $117.49 | $117.49 | $120.23 |
UPMC Health Plan Setting Professional Modifier TC · Technical part Typical Low $776.25 Median $776.25 Typical High $776.25 | Professional | TC · Technical part | $776.25 | $776.25 | $776.25 |
United Setting Facility Modifier None Typical Low $1,174.90 Median $2,511.89 Typical High $2,884.03 | Facility | None | $1,174.90 | $2,511.89 | $2,884.03 |
United Setting Professional Modifier None (both parts) Typical Low $831.76 Median $977.24 Typical High $1,698.24 | Professional | None (both parts) | $831.76 | $977.24 | $1,698.24 |
United Setting Professional Modifier 26 · Professional part Typical Low $112.20 Median $128.82 Typical High $239.88 | Professional | 26 · Professional part | $112.20 | $128.82 | $239.88 |
United Setting Professional Modifier TC · Technical part Typical Low $707.95 Median $831.76 Typical High $1,513.56 | Professional | TC · Technical part | $707.95 | $831.76 | $1,513.56 |
4 more rates with less common billing modifiers
A modifier changes what was billed, for example a reduced or repeated service. Each of these modifiers carries under 10% of the published rates for this code. Modifier combinations, and modifiers with fewer than 30 rates for a carrier, are not listed.
| Insurance Carrier | Facility/Professional | Modifier | Typical Low | Median | Typical High |
|---|---|---|---|---|---|
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $467.74 Median $478.63 Typical High $512.86 | Professional | 52 · Reduced service | $467.74 | $478.63 | $512.86 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $186.21 Median $190.55 Typical High $208.93 | Professional | 53 · Discontinued | $186.21 | $190.55 | $208.93 |
Martin's Point Setting Professional Modifier 52 · Reduced service Typical Low $467.74 Median $478.63 Typical High $512.86 | Professional | 52 · Reduced service | $467.74 | $478.63 | $512.86 |
Martin's Point Setting Professional Modifier 53 · Discontinued Typical Low $186.21 Median $190.55 Typical High $208.93 | Professional | 53 · Discontinued | $186.21 | $190.55 | $208.93 |
Where Pennsylvania sits
The same service costs 2.9 times more in Alaska than in Texas. Every bar is a state, most expensive first. Touch or drag across it to read any state, then open that state for its carriers and full range.
Pennsylvania· 42nd of 51
$1,023
AK $2,138TX $741
Median negotiated rate in each state, from every insurer that publishes one. States where no insurer publishes a rate for this service are not shown.